HOW TO USE L-LACTATE CLINICALLY Pamela A. Wilkins, DVM, MS, PhD, DACVIM-LAIM, DACVECC Champaign-Urbana, IL INTRODUCTION: Neonatal Foals: L-lactate concentrations Abbreviations: measured at admission in neonatal foals can provide guidance LAC L-lactate...
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HOW TO USE L-LACTATE CLINICALLY Pamela A. Wilkins, DVM, MS, PhD, DACVIM-LAIM, DACVECC Champaign-Urbana, IL INTRODUCTION: Neonatal Foals: L-lactate concentrations Abbreviations: measured at admission in neonatal foals can provide guidance LAC L-lactate regarding survival prognostication but is more useful in some [LAC] L-lactate concentration diseases than others, primarily sepsis, gastrointestinal [LAC]Admit Admission [LAC] disturbances, respiratory problems, trauma and NI. Repeated [LAC]∆ Change in [LAC] with time [LAC] determination after admission is most useful for LAC Area Area under [LAC] vs. time curve prognosis in septic foals, but has application in all neonatal foals. Persistent hyperlactatemia is an indicator of poor outcome in all sick neonatal foals, apparently regardless of diagnosis, but requires further investigation. [LAC]Area may be more useful when determined over the first 24 hours of hospitalization but may require adjustment based on age at admission. Further stud
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